| NPI | 1306420229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO 0996071) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CO 2020041235) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2024-05-13 |